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See a sample rate comparisonCPT 92371 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Fitting For Eyeglasses, Fitting Of An Eyeglass Worn To Correct A Condition Where The Natural Lens Of A Persons Eye Is Missing (Aphakia).
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | RA NU |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92371 |
| Medicaid Fee Schedule | $13.965 median of the 8 states in the free preview · View Medicaid rates for 92371 |
National average reimbursement for CPT 92371 by major payers:
$18.93
$16.04
$14.05
$21.32
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CPT 92371
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$82.30Published rateJamie Evans
$22.27Published rateOmotola Ajibade
Loyola University Medical Center
$19.70Published rateJohn Millichap
Community Care Network Inc
$16.50Published rateRandy Jung
Touchette Regional Hospital Inc
$10.06Published rate
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See a sample payer proposalCPT 92371 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92371 code is part of the Medicine Services and Procedures services used for Ophthalmology Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92371 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92285-CPT | Low | External Ocular Photography, External Ocular Photography With Interpretation And Report For Documentation Of Medical Progress Eg Close Up Photography Slit Lamp Photography Goniophotography Stereo Photography |
| 92286-CPT | Low | Special Anterior Segment Photo, Special Anterior Segment Photography With Interpretation Andreport With Specular Endothelial Microscopy And Cell Count Special Anterior Segment Photography With Interpretation And |
| 92370-CPT | Low | Repair/Refit Spectacles; Except Aphakia |
| 92371-CPT | Low | Fitting For Eyeglasses, Fitting Of An Eyeglass Worn To Correct A Condition Where The Natural Lens Of A Persons Eye Is Missing (Aphakia). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92371. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92371 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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